Case study: Client with cirrhosis and confusion. Based on the current assessment, what is the nurse's priority action?

Question

Accepted Answer

D. assess neurologic status and resume measures that lower ammonia as prescribed — The priority action is to assess neurologic status and resume measures that lower ammonia as prescribed because this addresses the immediate risk in the case.

Answer

A. complete routine care before notifying the provider

Answer

B. document the finding as expected and reassess in 1 hour

Answer

C. encourage the client to rest and increase oral intake